Individual provider · Type 1 NPI
Mirian Antonia Soba
Case Management Registered Nurse · Inglewood, CA
NPI number
1861670408
Active
Practice location
123 W Manchester Blvd Rm 231B
Inglewood, CA 90301-1753
Fax (310) 330-7010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 509171 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1861670408
Mirian Antonia Soba's National Provider Identifier is 1861670408, issued on Feb 6, 2008. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Inglewood, CA. The record was last updated on Feb 6, 2008.